Week One Day Two

Pt presented with an inversion sprain of the R ankle

Thoughts and feelings?
Felt pretty confident with this pt because there was a definite event and a specific history. It made it easier to clinical reason and gave me idea of what was happening before I moved onto the objective Ax.

What did you do well and what do you need to improve?
Subjective was pretty good, objective still needs work and particularly need to work on my structure.
The plan would be to try and get the ankle moving ASAP to reduce stiffness and get the pt wt bearing and doing some light stretches (since it was in the sub-acute phase and most of the pain and swelling had eased.

Changes would you make?
Work the objective from observation and palpation through active movements and special tests in the appropriate order and formulate my diagnosis from there.

What are your overall thoughts of the day?
My confidence is slowly getting better which is helping to improve my subjective assessment. The more pts I see, the better I'll get. My objective assessment seems to be the part I need most work on and I found that there were times that I wasn't moving through the assessment how I would of like if I had sat down and thought about it.

What strategies can I incorporate?
Sit down and watch another physio do their objectve assessment and learn to prioritise my assessment.

What question would i ask my supervisor?
How you perform the Mulligan treatment for the ankle and what it involves.